Abstract

In this study the ureteric orifice position of duplex ureters in the bladder or urethra of children was correlated with the kidney configuration as determined by x-ray examination and in some by surgical excision and biopsy. A previous study 1 of 51 necropsy speciments of duplex kidneys, ureters, and bladders of neonates, revealed a close correlation between ureteric oreteric orifice position and kidney morphology. This clinical study of children further confirms that the position and type of ureteral orifice act as guides to renal order and disorder in duplex kidneys. A radiographic classification of kidney configurrations was invoked to match and correlate form with orifice position. From this cystoradiographic study, it appears that renal abnormalities occur when ureteric buds arise from faulty locations in the Wolffian duct during embryogenesis.

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